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Maori Health needs

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https://www.readbyqxmd.com/read/28870189/can-digital-stories-go-where-palliative-care-research-has-never-gone-before-a-descriptive-qualitative-study-exploring-the-application-of-an-emerging-public-health-research-method-in-an-indigenous-palliative-care-context
#1
Lisa Williams, Merryn Gott, Tess Moeke-Maxwell, Stella Black, Shuchi Kothari, Sarina Pearson, Tessa Morgan, Matua Rawiri Wharemate, Whaea Whio Hansen
BACKGROUND: The World Health Organization (WHO) has called for global approaches to palliative care development. Yet it is questionable whether one-size-fits-all solutions can accommodate international disparities in palliative care need. More flexible research methods are called for in order to understand diverse priorities at local levels. This is especially imperative for Indigenous populations and other groups underrepresented in the palliative care evidence-base. Digital storytelling (DST) offers the potential to be one such method...
September 4, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28754106/retesting-and-repeat-positivity-following-diagnosis-of-chlamydia-trachomatis-and-neisseria-gonorrhoea-in-new-zealand-a-retrospective-cohort-study
#2
Sally B Rose, Susan M Garrett, James Stanley, Susan R H Pullon
BACKGROUND: Testing for reinfection at 3 to 6 months following treatment for Chlamydia Trachomatis or Neisseria gonorrhoea is recommended in best practice sexual health management guidelines. This study aimed to describe rates of retesting and repeat positivity following diagnosis of chlamydia or gonorrhoea in a defined geographic region of New Zealand. METHODS: Retrospective cohort study in Wellington, New Zealand involving analysis of laboratory data for chlamydia and gonorrhoea tests performed in primary care and sexual health clinics (July 2012-July 2015)...
July 28, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28739609/a-national-quitline-service-and-its-promotion-in-the-mass-media-modelling-the-health-gain-health-equity-and-cost-utility
#3
Nhung Nghiem, Christine L Cleghorn, William Leung, Nisha Nair, Frederieke S van der Deen, Tony Blakely, Nick Wilson
BACKGROUND: Mass media campaigns and quitlines are both important distinct components of tobacco control programmes around the world. But when used as an integrated package, the effectiveness and cost-effectiveness are not well described. We therefore aimed to estimate the health gain, health equity impacts and cost-utility of the package of a national quitline service and its promotion in the mass media. METHODS: We adapted an established Markov and multistate life-table macro-simulation model...
July 24, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28727690/demographic-and-psychological-correlates-of-satisfaction-with-healthcare-access-in-new-zealand
#4
Carol Hj Lee, Chris G Sibley
AIMS: To explore the distribution of New Zealanders' satisfaction with their healthcare access and identify various demographic and psychological factors associated with this satisfaction. METHODS: 15,822 participants responded to the 2014/15 New Zealand Attitudes and Values Study (NZAVS) survey. This survey included questions on participants' demographic and psychological characteristics, and an item asking for their level of satisfaction with "your access to healthcare when you need it"...
July 21, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28707268/-hey-we-are-the-best-ones-at-dealing-with-our-own-embedding-a-culturally-competent-program-for-m%C3%A4-ori-and-pacific-island-children-into-a-mainstream-health-service-in-queensland-australia
#5
Lisa Vaughan, Lisa Schubert, Helen Mavoa, Nicola Fa'avale
OBJECTIVE: We present the results of one component of an external evaluation of Good Start Program (GSP), a community-based program for the prevention of chronic disease among Maori and Pacific Island (MPI) communities living in the state of Queensland, Australia. DESIGN: An evaluation of the GSP was undertaken using a mixed methods approach. This paper reports on the qualitative component where interview and focus group data was collected, using Talanoa, a culturally tailored research methodology...
July 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28692186/access-to-specialist-palliative-care-services-by-people-with-severe-and-persistent-mental-illness-a-retrospective-cohort-study
#6
Helen Butler, Anthony John O'Brien
Compared to the general population, people with pre-existing serious and persistent mental illness (SPMI) have higher rates of physical illness and die at an earlier age, raising questions about their palliative and end-of-life care needs when they are diagnosed with an incurable physical illness. In the present study, we explored access to specialist palliative care services within one New Zealand health district. Routinely-collected, de-identified patient information on a cohort of people diagnosed with SPMI, and receiving specialist palliative care services from the Capital and Coast District Health Board (CCDHB), was compared to the general population from the same health district...
July 10, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28691522/the-rate-of-mental-health-service-use-in-new-zealand-as-analysed-by-ethnicity
#7
Rees Tapsell, Charlene Hallett, Graham Mellsop
OBJECTIVES: To compare by ethnicity the rates of apparent new referrals and admissions to mental health services for selected major diagnostic groupings. METHOD: Using a Ministry of Health database covering all referrals and admissions to New Zealand's Mental Health services in 2014 and who had not been patients in the preceding six years, population adjusted rates of presentation were calculated and compared across the two major New Zealand ethnic groupings. RESULTS: Population corrected rates of apparently new cases of schizophrenia are more than twice as common in Māori as in non-Māori...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28647728/impact-of-five-tobacco-endgame-strategies-on-future-smoking-prevalence-population-health-and-health-system-costs-two-modelling-studies-to-inform-the-tobacco-endgame
#8
Frederieke S van der Deen, Nick Wilson, Christine L Cleghorn, Giorgi Kvizhinadze, Linda J Cobiac, Nhung Nghiem, Tony Blakely
OBJECTIVE: There is growing international interest in advancing 'the tobacco endgame'. We use New Zealand (Smokefree goal for 2025) as a case study to model the impacts on smoking prevalence (SP), health gains (quality-adjusted life-years (QALYs)) and cost savings of (1) 10% annual tobacco tax increases, (2) a tobacco-free generation (TFG), (3) a substantial outlet reduction strategy, (4) a sinking lid on tobacco supply and (5) a combination of 1, 2 and 3. METHODS: Two models were used: (1) a dynamic population forecasting model for SP and (2) a closed cohort (population alive in 2011) multistate life table model (including 16 tobacco-related diseases) for health gains and costs...
June 24, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28571046/new-zealand-tobacco-control-experts-views-towards-policies-to-reduce-tobacco-availability
#9
Lindsay Robertson, Louise Marsh, Janet Hoek, Rob McGee
AIM: Higher tobacco retailer density promotes smoking by making cigarettes more accessible and available, and by increasing environmental cues to smoke. We aimed to examine tobacco control experts' views on policies that could reduce tobacco retail availability. METHODS: Telephone interviews with 25 individuals drawn from academia, non-governmental organisations, Māori and Pacific health, smoking cessation services, district health boards and other public health-related organisations...
June 2, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494479/a-walking-stick-in-one-hand-and-a-chainsaw-in-the-other-patients-perspectives-of-living-with-multimorbidity
#10
Louise Signal, Kelly Semper, Jeannine Stairmand, Cheryl Davies, Elinor Millar, Tony Dowell, Ross Lawrenson, Dee Mangin, Diana Sarfati
AIMS: Multimorbidity is common, yet there are major gaps in research, particularly among younger and indigenous populations. This research aimed to understand patients' perspectives of living with multimorbidity. METHODS: A qualitative study of 61 people living with multimorbidity, 27 of whom were Māori and a third aged under 65, from urban and rural regions in New Zealand. Six focus groups and 14 interviews were conducted, recorded, transcribed and analysed. RESULTS: For many participants, living with multimorbidity disrupted their 'normal' lives, posing challenges in everyday activities such as eating and toileting, working and managing medications...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28450812/changing-ethnic-inequalities-in-mortality-in-new-zealand-over-30%C3%A2-years-linked-cohort-studies-with-68-9-million-person-years-of-follow-up
#11
George Disney, Andrea Teng, June Atkinson, Nick Wilson, Tony Blakely
BACKGROUND: Internationally, ethnic inequalities in mortality within countries are increasingly recognized as a public health concern. But few countries have data to monitor such inequalities. We aimed to provide a detailed description of ethnic inequalities (Māori [indigenous], Pacific, and European/Other) in mortality for a country with high quality ethnicity data, using both standard and novel visualization methods. METHODS: Cohort studies of the entire New Zealand population were conducted, using probabilistically-linked Census and mortality data from 1981 to 2011 (68...
2017: Population Health Metrics
https://www.readbyqxmd.com/read/28449014/ethnic-disparities-in-the-use-of-seclusion-for-adult-psychiatric-inpatients-in-new-zealand
#12
COMPARATIVE STUDY
Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham
AIM: This study aims to investigate disparities in seclusion between Māori and non-Māori non-Pacific (nMnP) adults in mental health inpatient units in New Zealand. METHOD: This study uses data on 7,239 inpatient psychiatric admissions and 782 seclusion events for nine district health boards (servicing 39% of the New Zealand population) for the period 1 July 2008 to 30 June 2010, from a New Zealand Ministry of Health dataset (PRIMHD). We calculate the age-standardised rates of seclusion per monthly inpatient admissions...
April 28, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28446238/changing-ethnic-inequalities-in-mortality-in-new-zealand-over-30%C3%A2-years-linked-cohort-studies-with-68-9-million-person-years-of-follow-up
#13
George Disney, Andrea Teng, June Atkinson, Nick Wilson, Tony Blakely
BACKGROUND: Internationally, ethnic inequalities in mortality within countries are increasingly recognized as a public health concern. But few countries have data to monitor such inequalities. We aimed to provide a detailed description of ethnic inequalities (Māori [indigenous], Pacific, and European/Other) in mortality for a country with high quality ethnicity data, using both standard and novel visualization methods. METHODS: Cohort studies of the entire New Zealand population were conducted, using probabilistically-linked Census and mortality data from 1981 to 2011 (68...
April 26, 2017: Population Health Metrics
https://www.readbyqxmd.com/read/28337038/pilot-study-of-methods-for-assessing-unmet-secondary-health-care-need-in-new-zealand
#14
Philip Bagshaw, Susan Bagshaw, Christopher Frampton, Robin Gauld, Terri Green, Charlotte Harris, Andrew Hornblow, Ben Hudson, Antony Raymont, Ann Richardson, Carl Shaw, Les Toop
AIMS: In this pilot study, the primary aim was to compare four potential methods for undertaking a national survey of unmet secondary healthcare need in New Zealand (one collecting data from GPs, and three from community surveys). The secondary aim was to obtain an estimate of the prevalence of unmet secondary healthcare need, to inform sample size calculations for a national survey. METHODS: An electronic system was set up for GPs in Christchurch (Pegasus PHO) and Auckland (Auckland PHO) to record cases of unmet need as encountered in clinics...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28219322/a-screening-program-to-test-and-treat-for-helicobacter-pylori-infection-cost-utility-analysis-by-age-sex-and-ethnicity
#15
Andrea M Teng, Giorgi Kvizhinadze, Nisha Nair, Melissa McLeod, Nick Wilson, Tony Blakely
BACKGROUND: The World Health Organization recommends all countries consider screening for H. pylori to prevent gastric cancer. We therefore aimed to estimate the cost-effectiveness of a H. pylori serology-based screening program in New Zealand, a country that includes population groups with relatively high gastric cancer rates. METHODS: A Markov model was developed using life-tables and morbidity data from a national burden of disease study. The modelled screening program reduced the incidence of non-cardia gastric cancer attributable to H...
February 20, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28080101/racial-discrimination-and-psychological-health-among-polynesians-in-the-u-s
#16
G E Kawika Allen, Hokule'a Conklin, Davis K Kane
OBJECTIVES: There is a dearth of research on the mental health of Polynesians residing in the United States. The aims of this study were to examine experiences of racial discrimination, self-esteem, trait anger, satisfaction with life, and psychological well-being among 628 Polynesians (e.g., Native Hawaiian, Tongan, Samoan, Fijian, Tahitian, Maori; 60% women (n = 378) and 40% men (n = 249); mean age = 28.7). METHOD: Measures were administered through an online survey to 628 Polynesians residing in the United States...
January 12, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28052445/acute-rheumatic-fever-and-exposure-to-poor-housing-conditions-in-new-zealand-a-descriptive-study
#17
Jane R Oliver, Nevil Pierse, Niki Stefanogiannis, Catherine Jackson, Michael G Baker
AIM: Acute rheumatic fever (ARF) is an important public health problem in low- and middle-income countries and in certain populations in high-income countries. Indigenous Australians, and New Zealand Māori and Pacific people, have incidence rates among the highest in the world. We aimed to investigate ARF cases' housing conditions and sore throat treatment to identify opportunities for improving ARF prevention in New Zealand. METHODS: Recently diagnosed cases and their care givers were interviewed...
April 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27977654/the-new-zealand-health-strategy-2016-whither-health-equity
#18
REVIEW
Heather Came, Tim McCreanor, Claire Doole, Emma Rawson
New Zealand's core health policy document-the New Zealand Health Strategy (NZHS)-was released in its final form in April 2016. This paper provides a critique of the strategy in particular, as it relates to health equity particularly for Māori. We introduce the five NZHS themes of-people powered, closer to home, value and high performance, one team and smart system-to focus on the aspirational goal of eliminating health inequities. Our critical framework is informed by Te Tiriti o Waitangi. We identified that the NZHS relies on the isolated efforts of committed individuals and organisations to achieve health equity and Te Tiriti engagement, rather than through a planned systems viewpoint...
December 16, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27977650/key-informant-views-on-biobanking-and-genomic-research-with-m%C3%A4-ori
#19
REVIEW
Maui Hudson, Kim Southey, Lynley Uerata, Angela Beaton, Moe Milne, Khyla Russell, Barry Smith, Phillip Wilcox, Valmaine Toki, Melanie Cheung
The aim of the Te Mata Ira project was to explore Māori views on biobanking and genomic research, and to identify ways to address Māori concerns over the collection and use of human tissue. Key informant interviews and workshops were conducted with Māori to identify Māori views in relation to biobanking and genomic research; and, informed by these views, interviews and workshops were conducted with Māori and non-Māori key informants (Indigenous Advisory Panel (IAP) members and science communities) to explore key issues in relation to Māori participation in biobanking and genomic research...
December 16, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27914688/systematic-review-of-rheumatic-disease-epidemiology-in-the-indigenous-populations-of-canada-the-united-states-australia-and-new-zealand
#20
REVIEW
Cairistin McDougall, Kelle Hurd, Cheryl Barnabe
OBJECTIVE: Past publications have highlighted an excess rheumatic disease incidence and prevalence in indigenous populations of Canada (First Nations, Inuit, and Métis), and the United States of America (Alaska Native and American Indian). We have updated these reviews and expanded the scope to include New Zealand (Maori) and Australia (Aborigine) indigenous populations. METHODS: We performed a broad search using medical literature databases, indigenous specific online indexes, and government websites to identify publications reporting the incidence and/or prevalence of arthritis conditions (rheumatoid arthritis, spondyloarthropathies, gout, osteoarthritis, systemic autoimmune rheumatic diseases, and juvenile idiopathic arthritis) in the indigenous populations of Canada, America, New Zealand, and Australia...
April 2017: Seminars in Arthritis and Rheumatism
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